BATIK TEXTILES Credit Application

BATIK TEXTILES

Credit Application

Legal Name of Applicant _____________________________

in business since ________________

Trade Name/DBA (if any) ________________________________

Business type: Corp.( ) Partnership ( ) Sole Prop. ( )

EIN _____________________

Business Address _______________________________

City/State/Zip______________________

At present location _______yrs

Telephone _________________

fax _____________

Website _____________________

e-mail _________________________________

Owner name __________________________

Owner telephone __________________________

Owner home address _____________________________

SSN: _________________________

City/State/Zip_______________________________________

Bank References

Bank Name _____________________

Acct. No. ___________________________

Bank Address _____________________________

City/State/Zip __________________________

Bank Telephone ___________________________

Contact _______________________________

Trade References

(Fabric companies with which you are presently on NET terms)

Reference 1:

Name _________________________

Telephone ______________________

Fax______________________

Address ____________________________

City/State/Zip________________________________

Reference 2:

Name _________________________

Telephone _____________________

Fax ________________________

Address ____________________________

City/State/Zip________________________________

Reference 3:

Name _________________________

Telephone ______________________

Fax _________ _____________

Address ____________________________

City/State/Zip________________________________

Applicant warrants that all statements on this form are true and correct and are made for the purpose of obtaining credit. Applicant authorizes Batik Textiles to request credit information from the references herein listed or other sources pertaining to Applicant’s financial responsibility.

Signature: _________________________________

______________________________

Printed Name

Date ______________________

PERSONAL GUARANTY

FOR VALUABLE CONSIDERATION, including Batik Textiles extension of credit to the above-named Applicant, the undersigned, do, hereby jointly, severally and personally guarantee the prompt and timely payment of all monies due Batik Textiles from the Applicant as a result of credit extended by Batik Textiles to said Applicant, and we hereby agree to indemnify Batik Textiles against any and all damage, loss, and expense, including reasonable attorney fees, sustained by Batik Textiles by reason of the Applicant’s failure to pay all monies owed when due. Batik Textiles may enforce this Personal Guaranty against the undersigned or any of them, jointly or severally, whether or not any action is taken against the Applicant. This Personal Guaranty is continuing in character and can be terminated only by written notice sent by registered or certified mail to Batik Textiles and given thirty (30) days in advance of such termination.

Dated:

__________________________________

Signature of Guarantor

__________________________________

Printed Name of Guarantor

___________________________

Signature of Guarantor

__________________________________

Printed Name of Guarantor